- A secondary payer is a health insurance plan that pays for medical services after another payer, such as Medicare, has made its payment. The secondary payer may be a private insurance plan, such as an employer-sponsored health plan, or it may be a government program, such as Medicaid.
- In the context of Medicare, the secondary payer is responsible for paying any remaining balance after Medicare has made its payment for covered services. The secondary payer may also be responsible for paying for services that are not covered by Medicare.
- It’s important for beneficiaries to understand their coverage and to provide their secondary payer information to their healthcare providers so that claims can be properly processed. Beneficiaries should also be aware that they may be responsible for paying any deductibles, copayments, or coinsurance that are not covered by Medicare or the secondary payer.
- Overall, a secondary payer is a health insurance plan that pays for medical services after another payer, such as Medicare, has made its payment. It’s important for beneficiaries to understand their coverage and to provide their secondary payer information to their healthcare providers so that claims can be properly processed.
